Individual provider · Type 1 NPI

Elizabeth Illenberg, FNP

Psychiatric/Mental Health Nurse Practitioner · Tullahoma, TN

NPI number 1295263192 Active

Practice location

600 N Jackson St
Tullahoma, TN 37388-3542

Call (931) 563-5469 Map

Mailing address

151 Edna W Grooms Ln
Watertown, TN 37184-1078

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X22622 (TN)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X22622 (TN)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

4 other providers at this address

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About NPI 1295263192

Elizabeth Illenberg, FNP's National Provider Identifier is 1295263192, issued on May 23, 2017. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Tullahoma, TN. The record was last updated on Feb 24, 2025.